| NPI | 1205106770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERMANDO ESGUERRA Administrator 408-568-0615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: NV RN41086) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NV 4185AGC-6) |
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NV 3220AGC-13) | |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2012-01-23 |